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Probability of Decompression Sickness and Venous Gas Emboli from 49 NASA Hypobaric Chamber Tests with Reference to Exploration Atmosphere

Introduction: Decompression sickness (DCS) is a complex biophysical event; it combines human perception of pain, for instance, and the presence of a gas phase in the tissues. Living tissues are complex and dynamic. Micronuclei and later bubbles may or may not form given what appears to be the same conditions. Even when bubbles grow, symptoms may or may not develop under what appears to be the same conditions. Therefore, at this time it is appropriate to consider DCS as a probabilistic rather than a deterministic event. Methods: Probabilistic models about hypobaric DCS and venous gas emboli (VGE) require a large amount of quality research data, a definition of decompression dose using physical and physiologic variables, and a flexible analytical approach that can quantify the association between each outcome and all covariates of interest (assuming independence between DCS and VGE) and then ultimately be extended to acknowledge dependencies between DCS and VGE. Our DCS and VGE data are from 1,031 hypobaric decompressions from 1983 to 2016. A total of 577 humans participated in 49 hypobaric chamber tests to evaluate denitrogenation procedures used by astronauts in the Space Shuttle and International Space Station programs. We defined decompression dose as the ratio of computed nitrogen tension in a theoretical 360-minute half-time compartment to ambient pressure, which accounts for denitrogenation and exposure pressure as well as explanatory variables such as age, sex, body mass index, and the presence or absence of ambulation as part of exercise at the exposure pressure. A parametric survival model, using a log-logistic distribution, was used to quantify the time to development of DCS, VGE, and Grade IV VGE. Results: Our survival estimates are applicable to simple hypobaric decompressions, such as depressurizations in 5 to 30 minutes to exposure pressures between 4 and 10 pounds per square inch absolute (psia) and after minutes to hours of denitrogenation, either under resting or exercise conditions to accelerated denitrogenation. The regressions are applicable to exposures between 2 to 6 hours and under conditions of ambulation or no ambulation as part of exercise at the test pressure. We estimate that an exposure to 4.3 psia with simulated extravehicular activity (EVA) that includes ambulation after equilibration to the exploration atmosphere at 8.2 psia with a 34% oxygen atmosphere will result in 3.1% DCS (1.8% to 5.2 95% confidence interval), 23.2% VGE (16.7 to 31.2%), and 8.5% Grade IV VGE (4.7 to 14.7%) in equal samples of men and women exposed for 6 hours. Discussion: Probabilistic models for DCS, VGE, and Grade IV VGE can be used to inform those that plan future EVAs. Their applications are useful to quantify the risk of DCS and VGE in astronauts that perform EVAs in low-pressure space suits while in space or while exploring the surfaces of the moon or Mars.

Johnny Conkin↗

Application of signal analysis to cavitation

The diagnostic facilities of the cross power spectrum and the coherence function have been employed to enhance the identification of not only the inception of cavitation, but also its level. Two piezoelectric pressure transducers placed in the downstream chamber of a model spool valve undergoing various levels of cavitation allowed for the use of both functions - the phase angle of the complex cross spectrum and the dimensionless coherence function - to sense clearly the difference between noise levels associated with a noncavitating jet from those once cavitation inception is attained. The cavitation noise within the chamber exhibited quite a regular character in terms of the phase difference between instruments for limited cavitation. Varying cavitation levels clearly illustrated the effect of bubble size on the attendant frequency range for which there was an extremely high coherence or nearly perfect causality.

Martin, C. S.↗

Verification of an altitude decompression sickness prevention protocol for Shuttle operations utilizing a 10.s psi pressure stage

Three test series involving 173-man tess were conducted to define and verify a pre-extravehicular activity (EVA) denitrogenation procedure that would provide acceptable protection against altitude decompression sickness while minimizing the required duration of oxygen (O2) prebreathe in the suit prior to EVA. The tests also addressed the safety, in terms of incidence of decompression sickness, of conducting EVA's on consecutive days rather than on alternate days. The tests were conducted in an altitude chamber, subjects were selected as representative of the astronaut population, and EVA periods were simulated by reducing the chamber pressure to suit pressure while the subjects breathed O2 with masks and worked at EVA representative work rates. A higher than anticipated incidence of both venous bubbles (55%) and symptoms (26%) was measured following all denitrogenation protocols in this test. For the most part, symptoms were very minor and stabilized, diminished, or disappeared in the six-hour tests. Instances of clear, possible, or potential systemic symptoms were encountered only after use of the unmodified 10.2 psi protocol and not after the modified 10.2 psi protocol, the 3.5-hour O2 prebreathed protocol, or the 4.0-hour O2 prebreathe protocol. The high incidence of symptoms is ascribed to the type and duration of exercise and the sensitivity of the reporting technique to minor symptoms. Repeated EVA exposures after only 17 hours did not increase symptom or bubble incidence.

Waligora, J. M.↗

The use of decompression to simulate the effect of extravehicular activity on human lymphocyte transformation

Lymphocytes from 35 subjects participating in a chamber study simulating extravehicular activity (EVA) conditions were studied. No significant differences in H3 thymidine uptake between pre chamber and post chamber response to any mitogens autologous plasma, or among circulating mononuclear cells by flow cytometry are observed. The studies could not identify the subjects who developed venous bubbles. Data from eight subjects suggests that acute stress associated with participating in the study augments in vitro lymphocyte proliferation. Results indicate EVA exposure does not greatly influence space-flight induced alterations in immune effector cell function.

Meehan, R. T.↗

Capillary Limit in a Loop Heat Pipe with Dual Evaporators

This paper describes a study on the capillary limit of a loop heat pipe (LHP) with two evaporators and two condensers. Both theoretical analysis and experimental investigation are conducted. Tests include heat load to one evaporator only, even heat loads to both evaporators and uneven heat load to both evaporators. Results show that after the capillary limit is exceeded, vapor will penetrate through the wick of the weaker evaporator and the compensation chamber (CC) of that evaporator will control the loop operating temperature regardless of which CC has been in control prior to the event Because the evaporator can tolerate vapor bubbles, the loop may continue to work and reach a new steady state at a higher operating temperature. The loop may even function with a modest increase in the heat load past the capillary limit With a heat load to only one evaporator, the capillary limit can be identified by rapid increases in the operating temperature and in the temperature difference between the evaporator and the CC. However, it is more difficult to tell when the capillary limit is exceeded if heat loads are applied to both evaporators. In all cases, the loop can recover by reducing the heat load to the loop.

Ku, Jentung↗

Design and Testing of a Shell-Flow Hollow-Fiber Venting Gas Trap

A Venting Gas Trap (VGT) was designed, built, and tested at NASA Johnson Space Center to eliminate dissolved and free gas from the circulating coolant loop of the Orion Environmental Control Life Support System. The VGT was downselected from two different designs. The VGT has robust operation, and easily met all the Orion requirements, especially size and weight. The VGT has a novel design with the gas trap made of a five-layer spiral wrap of porous hydrophobic hollow fibers that form a cylindrically shaped curtain terminated by a dome-shaped distal plug. Circulating coolant flows into the center of the cylindrical curtain and flows between the hollow fibers, around the distal plug, and exits the VGT outlet. Free gas is forced by the coolant flow to the distal plug and brought into contact with hollow fibers. The proximal ends of the hollow fibers terminate in a venting chamber that allows for rapid venting of the free gas inclusion, but passively limits the external venting from the venting chamber through two small holes in the event of a long-duration decompression of the cabin. The VGT performance specifications were verified in a wide range of flow rates, bubble sizes, and inclusion volumes. Long-duration and integrated Orion human tests of the VGT are also planned for the coming year.

Bue, Grant C.↗

A Burning Rate Emulator (BRE) for Study in Microgravity

A gas-fueled burner, the Burning Rate Emulator (BRE), is used to emulate condensed-phase fuel flames. The design has been validated to easily measure the burning behavior of condensed-phase fuels by igniting a controlled stream of gas fuel and diluent. Four properties, including the heat of combustion, the heat of gasification, the surface temperature, and the laminar smoke point, are assumed to be sufficient to define the steady burning rate of a condensed-phase fuel. The heat of gasification of the fuel is determined by measuring the heat flux and the fuel flow rate. Microgravity BRE tests in the NASA 5.2 s drop facility have examined the burning of pure methane and ethylene (pure and 50 in N2 balance). Fuel flow rates, chamber oxygen concentration and initial pressure have been varied. Two burner sizes, 25 and 50 mm respectively, are chosen to examine the nature of initial microgravity burning. The tests reveal bubble-like flames that increase within the 5.2s drop but the heat flux received from the flame appears to asymptotically approach steady state. Portions of the methane flames appear to locally detach and extinguish at center, while its shape remains fixed, but growing. The effective heat of gasification is computed from the final measured net heat flux and the fuel flow rate under the assumption of an achieved steady burning. Heat flux (or mass flux) and flame position are compared with stagnant layer burning theory. The analysis offers the prospect of more complete findings from future longer duration ISS experiments.

diffusion flames↗

Space shuttle orbit maneuvering engine reusable thrust chamber: Adverse operating conditions test report

Test hardware, facilities, and procedures are described along with results of electrically heated tube and channel tests conducted to determine adverse operating condition limits for convectively cooled chambers typical of Space Shuttle Orbit Manuevering Engine designs. Hot-start tests were conducted with corrosion resistant steel and nickel tubes with both monomethylhydrazine and 50-50 coolants. Helium ingestion, in both bubble and froth form, was studied in tubular test sections. Helium bubble ingestion and burn-out limits in rectangular channels were also investigated.

Tobin, R. D.↗

Investigation of the Influence of Microgravity on Transport Mechanism in a Virtual Spaceflight Chamber: A Flight Definition Program

A need exists for understanding precisely how particles move and interact in a fluid in the absence of gravity. Such understanding is required, for example, for modeling and predicting crystal growth in space where crystals grow from solution around nucleation sites as well as for any study of particles or bubbles in liquids or in experiments where particles are used as tracers for mapping microconvection. We have produced an exact solution to the general equation of motion of particles at extremely low Reynolds number in microgravity that covers a wide range of interesting conditions. We have also developed diagnostic tools and experimental techniques to test the validity of the general equation . This program, which started in May, 1998, will produce the flight definition for an experiment in a microgravity environment of space to validate the theoretical model. We will design an experiment with the help of the theoretical model that is optimized for testing the model, measuring g, g-jitter, and other microgravity phenomena. This paper describes the goals, rational, and approach for the flight definition program. The first objective of this research is to understand the physics of particle interactions with fluids and other particles in low Reynolds number flows in microgravity. Secondary objectives are to (1) observe and quantify g-jitter effects and microconvection on particles in fluids, (2) validate an exact solution to the general equation of motion of a particle in a fluid, and (3) to characterize the ability of isolation tables to isolate experiments containing particle in liquids. The objectives will be achieved by recording a large number of holograms of particle fields in microgravity under controlled conditions, extracting the precise three-dimensional position of all of the particles as a function of time and examining the effects of all parameters on the motion of the particles. The feasibility for achieving these results has already been established in the ongoing ground-based NRA, which led to the "virtual spaceflight chamber" concept.

Trolinger, James D.↗

Gender Consideration in Experiment Design for Airbrake in Prebreathe

If gender is a confounder of the decompression sickness (DCS) or venous gas emboli (VGE) outcomes of a proposed air break in oxygen prebreathe (PB) project, then decisions about the final experiment design must be made. We evaluated if the incidence of DCS and VGE from tests in altitude chambers over 20 years were different between men and women after resting and exercise prebreathe protocols. Nitrogen washout during PB is our primary risk mitigation strategy to prevent subsequent DCS and VGE in subjects. Bubbles in the pulmonary artery (venous blood) were detected from the precordial position using Doppler ultrasound bubble detectors. The subjects were monitored for VGE for four min at about 15 min intervals for the duration of the altitude exposure, with maximum bubble grade assigned a Spencer Grade of IV. There was no difference in DCS incidence between men and women in either PB protocol. The incidence of VGE and Grade IV VGE is statistically lower in women compared to men after resting PB. Even when 10 tests were compared with Mantel-Haenszel 2 where both men (n = 168) and women (n = 92) appeared, the p-value for VGE incidence was still significant at 0.03. The incidence of VGE and Grade IV VGE is not statistically lower in women compared to men after exercise PB. Even when six tests were compared with Mantel-Haenszel x2 where both men (n = 165) and women (n = 49) appeared, the p-value for VGE incidence was still not significant at 0.90. Our goal is to understand the risk of brief air breaks during PB without other confounding variables invalidating our conclusions. The cost to additionally account for the confounding role of gender on VGE outcome after resting PB is judged excessive. Our decision is to only evaluate air breaks in the exercise PB protocol. So there is no restriction to recruiting women as test subjects.

Conkin, Johnny↗

Gender Consideration in Experiment Design for Air Break in Prebreathe

If gender is a confounder of the decompression sickness (DCS) or venous gas emboli (VGE) outcomes of a proposed air break in oxygen prebreathe (PB) project, then decisions about the final experiment design must be made. We evaluated if the incidence of DCS and VGE from tests in altitude chambers over 20 years were different between men and women after resting and exercise PB protocols. Nitrogen washout during PB is our primary risk mitigation strategy to prevent subsequent DCS and VGE in subjects. Bubbles in the pulmonary artery (venous blood) were detected from the precordial position using Doppler ultrasound bubble detectors. The subjects were monitored for VGE for four min at about 15 min intervals for the duration of the altitude exposure, with maximum bubble grade assigned a Spencer Grade of IV.

Conkin, Johnny↗

Ocean foam generation and modeling

A laboratory investigation was conducted to determine the physical and microwave properties of ocean foam. Special foam generators were designed and fabricated, using porous glass sheets, known as glass frits, as the principal element. The glass frit was sealed into a water-tight vertical box, a few centimeters from the bottom. Compressed air, applied to the lower chamber, created ocean foam from sea water lying on the frit. Foam heights of 30 cm were readily achieved, with relatively low air pressures. Special photographic techniques and analytical procedures were employed to determine foam bubble size distributions. In addition, the percentage water content of ocean foam was determined with the aid of a particulate sampling procedure. A glass frit foam generator, with pore diameters in the range 70 - 100 micrometers, produced foam with bubble distributions very similar to those found on the surface of natural ocean foam patches.

Porter, R. A.↗

Cloud physics laboratory project science and applications working group

The conditions of the expansion chamber under zero gravity environment were simulated. The following three branches of fluid mechanics simulation under low gravity environment were accomplished: (1) oscillation of the water droplet which characterizes the nuclear oscillation in nuclear physics, bubble oscillation of two phase flow in chemical engineering, and water drop oscillation in meteorology; (2) rotation of the droplet which characterizes nuclear fission in nuclear physics, formation of binary stars and rotating stars in astrophysics, and breakup of the water droplet in meteorology; and (3) collision and coalescence of the water droplets which characterizes nuclear fusion in nuclear physics and processes of rain formation in meteorology.

Hung, R. J.↗

Investigations of flowfields found in typical combustor geometries

The flowfields of gas turbine combustion chambers were investigated. Six flowfield configurations with sidewall angles alpha = 90 and 45 deg. and swirl vane angles phi = 0, 45 and 70 deg. are characterized. Photography of neutrally-buoyant helium-filled soap bubbles, tufts, and injected smoke helps to characterize the time-mean streamlines, recirculation zones and regions of highly turbulent flow. Five-hole pitot probe pressure measurements allow the determination of time-mean velocities u, v and w. An advanced computer code equipped with a standard two-equation kappa-epsilon turbulence model was used to predict corresponding flow situations and to compare results with the experimental data.

Lilley, D. G.↗

High-Frequency Measurements of Methane Ebullition Over a Growing Season at a Temperate Peatland Site

Bubbles can contribute a significant fraction of methane emissions fr om wetlands; however the range of reported fractions is very large an d accurate characterization of this pathway has proven difficult. Her e we show that continuous automated flux chambers combined with an in tegrated cavity output spectroscopy (ICOS) instrument allow us to qua ntify both CH4 ebullition rate and magnitude. For a temperate poor f en in 2009, ebullition rate varied on hourly to seasonal time scales. A diel pattern in ebullition was identified with peak release occurr ing between 20:00 and 06:00 local time, though steady fluxes (i.e., t hose with a linear increase in chamber headspace CH4 concentration) d id not exhibit diel variability. Seasonal mean ebullition rates peake d at 843.5 +/- 384.2 events m(exp -2)/d during the summer, with a me an magnitude of 0.19 mg CH4 released in each event.

Goodrich, Jordan P.↗

Investigation of Capillary Limit in a Loop Heat Pipe

This paper presets an experimental study on the capillary limit of a loop heat pipe (LHP) at low powers. The slow thermal response of the loop at low powers made it possible to observe interactions among various components after the capillary limit was exceeded. The capillary limit at low powers was achieved by imposing additional pressure drops on the vapor line through the use of a metering valve. A differential pressure transducer was also used to measure the pressure drop across the evaporator and the compensation chamber (CC). Test results show that when the capillary limit is exceeded, vapor will penetrate the primary wick, resulting in a partial dry-out of the evaporator and a rapid increase of the CC temperature. Because the evaporator can tolerate vapor bubbles, the LHP will continue to function and may reach a new steady state at the higher temperature. Thus, the LHP will exhibit a graceful degradation in performance rather than a complete failure. Moreover, the loop can recover from a partial dry-out by reducing the heat load without a re-start.

Ku, Jentung↗

Combining Information on Multiple Detection Techniques to Estimate the Effect of Patent Foramen Ovale on Susceptibility to Decompression Illness

The assembly and the maintenance of the International Space Station is expected to require hundreds of extravehicular excursions (EVA's) in the next 10 years. During an EVA, in order to allow movement and bending of limbs, spacesuit pressures are reduced to about 4.3 psi. as compared with about 14.7 psi. for normal atmospheric pressure at sea level. However, the exposure of astronauts to reduced pressures in spacesuits, is conducive to fonnation and growth of gas bubbles within venous blood or tissues, which could cause decompression illness (DCI), a pathology best known to occur among deep-sea divers when they return to the surface. To reduce the risk of DCI, astronauts adjust to the reduced pressure in stages for a prolonged time known as a "pre-breathe" period prior to their extravehicular activity. Despite the use of pre-breathe protocols, an increased risk of DCI can arise for about 25% of humans who have a small hole, known as a patent foramen ovale (PFO), between two chambers of the heart. The atrial septum's fossa oval is, an embryological remnant of a flap between the septae primum and secundum allows fetal right atrial blood to pass into the left atrium, and usually closes after birth (Hagen, et al,. 1984). If fusion does not occur, a valve-like opening, the foramen ovale persists between the two atria. It has been suggested that astronauts with PFO's might be at greater risk of stroke or other serious neurological DCI because bubbles from a venous site may traverse a PFO, travel to the aorta and then enter the cerebral circulatory system causing a stroke (Figure 1). Astronauts are not now screened for PFO's, however consideration is being given to doing so. Here, we study three main methods abbreviated here as "ITE", "TCD" and "TEE", for detecting PFO's in living subjects. All involve the introduction of bubbles into a vein, immediately after which a sensory probe attempts to detect the bubbles in systemic circulation. Presence of the injected bubbles in the systemic circulation is indicative of a PFO. More detailed descriptions are given after the explanation of PFO's under Figure I. Even if a true PFO affects the risk of DCI, there remains a question of how effective screening would be if the detection method has errors of omission and/or commission. Of the three methods studied here, TEE is the "gold standard", matching autopsy results with near-perfect sensitivity and specificity (Schneider, et al. , 1996). However TEE is also the most difficult method to implement, requiring an internal esophagal probe, and is therefore not widely used. Currently, the easiest to use and most common PFO detection method is TTE, which uses an external chest probe. This method has a specificity of near 100%, but suffers from a low sensitivity rate (about 30%). More recently, TCD has been developed, which uses ultrasound probes to detect the presence of bubbles in cerebral arteries. Studies indicate that TCD is quite effective, having a sensitivity of about 91% and a specificity of about 93% (Droste, et al., 1999) when applied correctly, however implementation is difficult and requires considerable training.

Feiveson, Alan H.↗

Sample Processor for Life on Icy Worlds (SPLIce): Design and Test Results

We report the design, development, and testing of the Sample Processor for Life on Icy Worlds (SPLIce) system, a microfluidic sample processor to enable autonomous detection of signatures of life and measurements of habitability parameters in Ocean Worlds. This monolithic fluid processing-and-handling system (Figure 1; mass 0.5 kg) retrieves a 50-L-volume sample and prepares it to supply a suite of detection instruments, each with unique preparation needs. SPLIce has potential applications in orbiter missions that sample ocean plumes, such as found in Saturns icy moon Enceladus, or landed missions on the surface of icy satellites, such as Jupiters moon Europa. Answering the question Are we alone in the universe? is captivating and exceptionally challenging. Even general criteria that define life very broadly include a significant role for water [1,2]. Searches for extinct or extant life therefore prioritize locations of abundant water whether in ancient (Mars), or present (Europa and Enceladus) times. Only two previous planetary missions had onboard fluid processing: the Viking Biology Experiments [3] and Phoenixs Wet Chemistry Laboratory (WCL) [4]. SPLIce differs crucially from those systems, including its capability to process and distribute L-volume samples and the integration autonomous control of a wide range of fluidic functions, including: 1) retrieval of fluid samples from an evacuated sample chamber; 2) onboard multi-year storage of dehydrated reagents; 3) integrated pressure, pH, and conductivity measurement; 4) filtration and retention of insoluble particles for microscopy; 5) dilution or vacuum-driven concentration of samples to accommodate instrument working ranges; 6) removal of gas bubbles from sample aliquots; 7) unidirectional flow (check valves); 8) active flow-path selection (solenoid-actuated valves); 9) metered pumping in 100 nL volume increments. The SPLIce manifold, made of three thermally fused layers of precision-machined cyclo-olefin polymer, supports all fluidic components (Figure 1) and integrated microchannels (125 x 250 m). Fluid is pumped by a stepper-motor-driven pump (Lee Co.). The functionality of the integrated MEMS pressure sensor (Honeywell) and passive check valves (Figure 2) were tested in conjunction with our newly designed integral bubble traps (Figure 3) and hydrophobic membrane-based concentrator (Figure 4). The concentrator (initially tested as a standalone component) demonstrated 5-fold vacuum-evaporative concentration. Polyethylene fused bead beds (PEFBBs; 50 porosity) store drylyophilized buffers, calibrants, and fluorescent dyes, and also promote mixing of sample with calibrant, dye, or H2O. Software-controlled automated tests demonstrated successful 1) fluid delivery to each component 2) valve and pump synchronization 3) sample aliquot delivery to instrument interface ports, and 4) rehydration of vacuum-dried fluorescent dye. In Figure 5, fluorescein on PEFBBs was rehydrated for 15 min using a pump-delivered water aliquot; it is displaced as H2O enters the bottom of the channel and pushes the dye into a check valve. Ultimately, SPLIce will fluorescently label amino acids in the sample for microchip-based electrophoretic (MCE) chiral separation and detection to seek and quantify key organic bio-signatures [5]; it will also deliver sample to a microfluidic version of WCL (mWCL) to measure soluble ions and redox-active species.

Life detection↗